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DR. WYATT RUSSELL ALLEY PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1265770648

Individual Registrant:
DR. WYATT RUSSELL ALLEY PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1325 MONTCLAIR RD  IRONDALE, AL 35210-2205 US
Tel: 205-951-6632  Fax: 205-951-6637

Contact information for business:
1325 MONTCLAIR RD  IRONDALE, AL 35210-2205 US
Tel: 205-951-6632  Fax: 205-951-6637

Registration Information:
NPI: 1265770648
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL16610

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1

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